<%@ Page Language="c#" Inherits="PHSRAG.Insight21.COI.COISubmission" CodeFile="COISubmission.aspx.cs" %>

<%@ Register TagPrefix="cc1" Namespace="PHSRAG.Insight21.InsightWebControls" Assembly="PHSRAG.Insight21.InsightWebControls" %>
<%@ Register TagPrefix="cc2" Namespace="PHSRAG.WebControls" Assembly="PHSRAG.WebControls" %>
<html xmlns="http://www.w3.org/1999/xhtml">
<head>
	<title>COI Submission</title>
	<link href="../Insight21.css" type="text/css" rel="stylesheet" />
</head>
<body>
	<form id="coiSubmissionForm" method="post" runat="server" defaultbutton='submitCOI'>
		<table class="Container">
			<tr>
				<td>
					<asp:Panel ID="headerSection" runat="server">
						<table cellspacing="0" width="100%">
							<tr>
								<td>
									<cc1:Header ID="header" runat="server"></cc1:Header>
								</td>
							</tr>
							<tr style="display: none">
								<td>
									<cc1:CoISubNavigation ID="coiSubNavigation" runat="server"></cc1:CoISubNavigation>
								</td>
							</tr>
							<tr>
								<td>
									<cc1:COISubModNavigation ID="coiSubModNavigation" runat="server"></cc1:COISubModNavigation>
								</td>
							</tr>
						</table>
						<br />
						<table class="PlaceBar" width="100%">
							<tr>
								<td>
									<cc2:BreadCrumb ID="breadCrumb" runat="server" HighlightCurrentPage="true"></cc2:BreadCrumb>
								</td>
							</tr>
						</table>
						<br />
					</asp:Panel>
					<table class="FormsManagement" width="100%">
						<tr>
							<td>
								<cc2:ExpandingPanel ID="helpContainer" runat="server" ExpansionToggler="expansionToggler">
									<StaticTemplate>
										<table class="Search">
											<tr>
												<td>
													<table id="expandedSearch" runat="server" width="100%">													
														<tr>
															<td>
                                                                Please enter your Partners user name and password, 
                                                                which serves as your electronic signature. &nbsp;Then, 
                                                                click the Submit button to complete this transaction.
															</td>
														</tr>
														<tr><td>&nbsp;</td></tr>
														<tr>
														    <td>
                                                                If you have questions, please contact Anne Botelho 
                                                                at 617.643.4494 or email <a href="mailto:COIAdmin@partners.org">COIAdmin@partners.org</a>. 
														    </td>
														</tr>
														<tr>
														    <td style="display:none">
																<cc2:ExpansionToggler ID="expansionToggler" runat="Server" ExpandedImage="~/Images/Arrow_DN.gif"
																	CollapsedImage="~/Images/Arrow_RT.gif" ExpandedLinkCaption="Hide Instructions"
																	CollapsedLinkCaption="Show Instructions"></cc2:ExpansionToggler>
														    </td>
														</tr>
													</table>
												</td>
											</tr>
										</table>
									</StaticTemplate>
									<DynamicTemplate>
										<table class="SearchDynamic">
										</table>
									</DynamicTemplate>
								</cc2:ExpandingPanel>
							</td>
						</tr>
					</table>
					<table cellspacing="0" cellpadding="0" width="100%" border="0">
						<tr>
							<td>
								<cc2:Annunciator ID="annunciator" runat="server"></cc2:Annunciator>
							</td>
						</tr>
						<tr style="height: 10px">
							<td>
							</td>
						</tr>
					</table>
					<asp:Panel ID="submitComplete" runat="server" Visible="true">
						<table cellpadding="0" cellspacing="0" width="100%">
							<tr>
								<td align="left" style="width: 100%">
									<h2>
										Congratulations and Thank You!</h2>
									<br />
									<h2>
										You have <b>successfully completed</b> and <b>submitted</b> your Conflict of Interest
										forms.</h2>
									<br />
									<br />
									<hr />
									To view your completed reports, click the buttons or visit the <a href="coihistory.aspx">
										My COI History page:</a>
									<br />
								</td>
							</tr>
							<tr>
								<td valign="bottom">
									<asp:ImageButton ID="viewApplication" runat="server" ImageUrl="../Images/b_view_report.gif" />
								</td>
							</tr>
							<tr>
								<td>
									<asp:ImageButton ID="viewDisclosure" runat="server" ImageUrl="../Images/b_view_disclosure.gif" />
								</td>
							</tr>
						</table>
					</asp:Panel>
					<asp:Panel ID="acknowledgement" Visible="false" runat="server">
						<table>
							<tr>
								<td>
									<strong>Electronic Signature</strong>
								</td>
							</tr>
							<tr>
								<td>
									&nbsp;</td>
							</tr>
							<tr>
								<td>
									I have answered fully and to the best of my ability.
								</td>
							</tr>
						</table>
						<table>
							<tr>
								<td>
									&nbsp;</td>
							</tr>
							<tr>
								<td>
									User Name:&nbsp;
								</td>
								<td>
									<asp:TextBox ID="userName" runat="server" ></asp:TextBox></td>
							</tr>
							<tr>
								<td>
									Password:&nbsp;
								</td>
								<td>
									<asp:TextBox ID="password" runat="server" TextMode="Password" ></asp:TextBox></td>
							</tr>
							<tr>
								<td>
									&nbsp;</td>
							</tr>
							<tr align="right">
								<td colspan="2">
									<table>
										<tr align="right" style="width: 100%">
											<td>
												<asp:ImageButton ID="submitCOI" runat="server" ImageUrl="../Images/b_submit.gif"></asp:ImageButton></td>
										</tr>
									</table>
								</td>
							</tr>
						</table>
					</asp:Panel>
				</td>
			</tr>
		</table>
	</form>
</body>
</html>
